Individual
DR. LUIS BENITO OTERO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 NE 102ND AVE, PORTLAND, OR 97220-3804
(210) 292-2055
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-2055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101268285
VA
207Q00000X
Family Medicine Physician
Primary
MD223102
OR
Other
Enumeration date
09/26/2005
Last updated
12/27/2024
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